Hms Mimbres Valley Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in San Lorenzo, New Mexico. The current practice location for Hms Mimbres Valley Clinic is 2672 Nm Hwy 35, San Lorenzo, New Mexico. For appointments, you can reach them via phone at
(575) 800-1467. The mailing address for Hms Mimbres Valley Clinic is 530 De Moss St, Lordsburg, New Mexico and phone number is (575) 542-8384.
Hms Mimbres Valley Clinic is licensed to practice in New Mexico (license number 3256). The clinic also participates in the medicare program and its
NPI number is 1801889878. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(575) 800-1467.
Primary Care Clinic Profile
| Full Name | Hms Mimbres Valley Clinic |
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| Speciality | Clinic/Center |
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| Location | 2672 Nm Hwy 35, San Lorenzo, New Mexico |
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| Authorized Official Name and Position | Daniel Otero (CEO) |
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| Authorized Official Contact | 5755422322 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Hms Mimbres Valley Clinic
530 De Moss St
Lordsburg
NM 88045-2618
Ph: (575) 542-8384 | Hms Mimbres Valley Clinic
2672 Nm Hwy 35
San Lorenzo
NM 88041
Ph: (575) 800-1467 |
NPI Details:
| NPI Number | 1801889878 |
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| Provider Enumeration Date | 08/25/2005 |
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| Last Update Date | 06/12/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4587572250 |
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| Medicare Enrollment ID | O20030207000000 |
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Medical Identifiers
Medical identifiers for Hms Mimbres Valley Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801889878 | NPI | - | NPPES |
| 69173273 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 3256 (New Mexico) | Primary |
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